Non-schedule Tender

Non-schedule forms and register

Report on Medical Legal cases Register Red colour(Each book containing 100 pages)

Report on Medical Legal cases Register Yellow colour(Each book containing 100 pages)

Elisa Test Register

HIV-100 pages

HBV-100 pages

HCV-100 pages

T.T. I. Register -100 pages

Daily Quality Control Register (ABO antisera)-100 pages

Daily Quality Control Register(Anti D sera)-100 pages

Daily Quality Control Register (AI'IG sera)-100 pages

Daily Quality Control Register(N/S) -100 Pages

Daily Quality Control Register (Dist.Water)-100 pages

Daily Quality Control Register(CuSO,f Sol.)-1.00 pages

Dailv Quality Control Register (Ked Cell Conc.)-100 pages

Daily Quality Control Register (Whole Blood) -100 pages

Daily Quality Control Register(platelet conc.)-100 pages

Daily Quality Control Register(F.F.P.) - 100 pages

Blood Bag Register-100 pages

Purchase Register (General)-100 Pages

Equipment Inventory Register -100 pages

Daily Quality Control Register(Control Red Cell)-100 pages

Cross Matching Register 200 pages

Blood Collection Register (Donor) 200 pages

Donor Master Register 200 pages

Blood Grouping Register (200 pages) patient or Blood bank Recipient

Daily Case Record Book(Each Book Containing 100 pages)

Indent Book Book of 100 Pages

Entry Pass Card (Red & Yellows Colour)

Blood Issue Register 200 pages

Donor Master Register 200 pages

Blood Grouping Register

HIV Testing Register

HBV Rapid Testing Register 200 pages

HCV Rapid Testing Register 200 pages

Malaria Rapid testing Register 200 pages

Syphilis Rapid Testing Register 200 pages

X-ray requisition Form

Admission record Form

Case Summary Form

Operation record

Radio-Therapy / Cobalt Therapy form

Physically Handicapped/ Senior Citizen Card

Compatibility Test Report Label Label - AB (White Color)

Label - B (Pink Color)

Label - A (yellow Color)

Label - O (Blue Color)

Consent form for transfusion of Blood/Blood Component

Whole Blood Requisition form

Blood Component Requisition form

Blood Bank Receipt Book (Each book containing 100 page only in duplicate)

Blood Group Sticker

MRI Envelope

CT Envelope

Radiation Therapy Prescription.

Discharge follow up Card

ECG Normal Reporting Form

ECG Abnormal reporting Form

Echo Cardiography & Doppler report

Discharge Certificate and Follow Up record Book let (For Cardiology)

Bone Marrow Report Form

C.S.F. Report Form

Audiomentary Form

Stock Card

Schedule III (Form-I)

R.C Bill Form

CC Bill Form

Bill Extract Form

Assam Schedule III Form No. 61

Grant in Aid Bill Form

Format T.R. 47 (A)

Annexure –A

Annexure B

Mother New Born Discharge Certificate

Post Mortem Examination Report Form

Examination Report Pad 100 pages

Screening report on the Haemoglobin typing on HPLC Chromatogram

T.R Form No. 9 (Multiple Sheet)

T.R. Form No 9 (Single sheet)

Consent form for Cytology/Core Biopsy

Cheque issue Register 200 pages

JSY Delivery Register 200 pages

Referral Certificate

Medical Certificate for leave

Fitness certificate

Master Stock Book

ENT O.T Register 100 pages

ENT OPD Register 100 Pages

Maternal Death Review Form Annexure-I

Paediatrics OT Admission register (for operation) Book of 200 pages

Form A (National Centre of Disease Control for COVID-19

Home Qurantine Form

Schedule of HBA/HUDCO/ MOTOR Car Advance

History Sheet10 pages Copier paper 3 pages back & back printing 7 nos. of pages only one side printing (Psychiatry Deptt.)

Money Receipt Book Hospital Management Society, Assam Medical College Hospital, Dibrugarh Dual Numbering, Book Number and Receipt Number Book of 200 pages

Requisition for Ultrasound & Other Radiological examination form book (Book of 100 pages in duplicate) infant/pregnent

Bio-Chemistry/Pathology/Microbiological Lab. Form Book (book of containing 100 pages) infant/pregnant

OPD Card (colour)

OPD Slip Form (Colour)

Art Paper 1/8 size for OPD

a. White

b. Pink

Laboratory requisition Master

X-ray requisition Form

History of Patient

Doctor's Order

Nurses daily record

Grapic T.R.C.Chart

Operation record

Blood Requisition Form

Pathology Lab. Form

Cadaver report form

Discharge Certificate form

Eye Deptt. Prescription form

Diet Slip Form

Casualty Registration Card

Investigation Chart

Casualty ML Registration Card

Ante natal record form

MRD OPD Receipt Book Yellow Colour (Each book containing 100 pages only in duplicate)

Donner Questionnaire report form

X-Ray /Ultrasound/CT/MRI report form

MRI requisition form

Nutrition and Growth Summary

Drug & Treatment Form

Daily NICU Nursing Care Plan

Neonatal Proforma

Neurological Examination Sheet

Neonatal Summary

Identifying High Risk, New Boarn (New Ballard Score)

Blood R/E Form

Urine R/E Form

Histopathological/Cytological Report Form

Haematology report form

Feeding Chart

IV Fluid Chart

Consolidated Drug Issue Chart

Schedule II-4-A

Form No. 24

Schedule II (Sec.I) Form No. 64

T.R. FormNo.9

T.R. Form No.10

Assam Schedule of recoveries of Festival Advance

TE Bill Form

Pay Bill Form

Lab. Report form for Culture of Blood & Body Fluids by versatrek Automated system

Trop-I Form

Lab. Report form (Microbiology)

Dengue case Investigation Form

Antibiogram report form

Seorology/Immunology report Form

Encephalitic syndrome case Investigation Form

J.E Laboratory Request & Report Form

Endoscopy Report form (Medicine/Surgery)

MRD Bill Form

Form for reporting Sex Crime Case

Requisition form for X-ray examination

Malaria , Hbs Ag, HCV etc. report form

Culture & Sensitivity report form

Microbiology Investigation form

Microbiology Investigation form

Census Form

CCL Form

Japanese Encephalities Lab Request & Report Form

Final opinion report form

Chemical Analysis of viscera report form

Fitness certificate

USG Gravid Uteras

Consent Form

MR Imaging and Angiography Form

Consent Form for Hemodialysis

Audiometric record sheets

ENT History cum case record

Maternal Death Review Form Annexure-6

Blood Stock Register 200 Pages

Donor Counseling Register 200 pages

Free Cases Entry Register 200 pages

Questionnarie for Screening of Patients Suspected of nCOV-19

ICMR Specimen Referral Form for COVID-19

RAT Requisition Form COVID-19

RAT Test report for COIV-19

Blood Donor Record Register, 200 pages

Donor Deferral Register, 200 pages

Transfusion Reaction Register, 200 pages

Daily Stock Register for Blood and its components, 200 pages

NRHM, Private, Thalassemia (Plain Copy 3), 200 pages

Recors of Component supplied, 200 pages

Master Records for Blood & its components, 200 pages

Bounded registers (Size 10,20,30,40,50), 200 pages

Donor Reaction Register, 200 pages

AMCH revenue free Cases Entry Register, 200 pages

Classic Executive long Book line(2) (size 50,40,20,10), 200 pages

Revenue free receipt

Classic Executive long Book line, 200 pages

Article department of Blood center AMCH, Dibrugarh

Register for diagnostic Kits and reagents used, 200 pages

Record of purchase of diaposable needle, syringe and blood centre, 200 pages

Register for Records of ACD/CPD/CPDA/Sagm, 200 pages

Peon Book, 200 pages

Attendance Register, 200 pages

Blood Discard Register, 200 pages

Donor Referral Register, 200 pages

TTI Registers (HBV, HCV,HIV,MALARIA,Syphilis), 200 pages

Leather binding register (long size,medium size,small size)(10,20,30,40,50)

Label (A,B,AB,O)

Blood Donor Questionnair & Consent form

Appreciation certificate (Assam & English) for voluntary donors

EEG Form

Psychological Intervention Report Form

Psychological Testing/Assessment Report Form

Requisition from of psychosocial assessment/therapy

File Cover with printing & ribbon

Form F for PC PNDT 4 pages printing on A4 Paper along with shorting & pinup

Acquiantance Roll Register 300 pages

Laboratory report from (serology/Immunology section)

Laboratory report from for Dengue

Laboratory Form (Deptt. of Microbiology)

WHO SEARO JE NETWORK LABORATORY

Laboratory Report Form

CSSD Quality Control Record Form

Laboratory Report Form for culture of Blood and Body fluids by versatrek automated system

Case Report Form

Laboratory report form for Mycology section repoty form

Ophthalmology Glass Paper

Advice Slip

Advice slip (yellow colour)

Daily Census report

OPD Card(ML Cases)

Blood Requisition

Endoscopy Requisition cum Consent Form

TPR Chart

Medico-Legal Register for Casualty (Large size)

Medico-Legal Report Book Yellow Colour (for outdoor cases)

Medico-Legal Report Book Pink Colour(For Indoor Cases)

Check list for enviromentaland surface cleaning of adult ICU's

SSI SURVELLANCE FORM

CAUTI SURVELLANCE FORM

VAP SURVELLANCE FORM

Check list for enviromental and surface cleaning of OT's

Police Surgeon form

AMC,Dibruugah and Police Surgeon,Dibrugarh form

AMCH-Post Mortem Histopathology requisition form

Form for Despatching Viscera to the Chemical Examiner

Identification Form

Sex crime (accused) examination reporting form

Sex crime case (victim) form

Drunkenness examination form

Age Estimation form

MS R R GRAPHICS

Prantik Art Printery

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