Supply of Printing Items in TMCH Tezpur

Advice Slip (1/16)

Advice Slip (1/8)

Acutance Register

Attendant Visiting Card Yellow

Attendant Visiting Card Red

Audiology Unit Sheet (ENT Sheet)

C/S Report Form 21cm*14cm

Cause of death (A4 paper)

Clinical Biochemistry Report (A4 paper)

Consent Form ENT (A4 paper)

Discharge Certificate (Gynae Septic) (A4 paper)

Discharge Certificate (Obs - Baby) (A4 paper)

Discharge Sheet (A4 paper)

Doctor's Sheet (A4 paper)

ECG Report (A4 paper)

ECG Requisition

Hematology Report(A4 paper)

History Sheet (A4 paper)

History Sheet(Psychaitry Deptt) (3 pages)

Indent book (3 folio)

Injury Report Form (A4 paper)

Intake And Output(A4 paper)

Investigation Sheet (A4 paper)

Lab Form A ( Path) 21cm*14cm

Lab Form B (Path) 21cm*14cm

Lab Form C ( Path) 20cm*18cm

Lab Form C (Bio) 21cm*14cm

Major OT Record Register

Medical Certificate (A4 paper)

Medicine Chart(A4 paper)

Medico legal Case record Register

Medico legal Injury Report Sheet (A4 paper)

Micro lab Form (II) 21cm*14cm

Micro lab Form D 21cm*14cm

Minor OT Record Register

Money Receipt Book Type-A 21cm*14cm

Money Receipt Book Type-B 21cm*14cm

MRD (Otorhinolaryngology head Neck Surgery Sheet) (both sided)

Nurses Daily record (A4 paper)

Nurses Quick Reference Record(A4 paper)

Nurses Record for ICU(A4 paper)

Operation List (Legal Size)

Operation Record Sheet(A4 paper)

Post mortem Report Sheet (A3 page)

Pre Printed Money Receipt (7x6x2)

Pre Printed MRD (summery sheet) (10x12x1)

Pre Printed Note sheet Paper (legal size)

Pre Printed Registration Sheet (10x12x3)

Report of Histopathology./FNAC(A4 paper)

Reporting Pad Office Of the Professor Of Head Deptt. Of Forensic Medicine of Toxicology

Slit and Skin Sheet(A4 paper)

Stock Register For Medicine 500 Pages

TPR Chart

Urine And Semen Examination Report Sheet(A4 paper)

Vaccination card

Indoor Register (Formatted)

ICU consent form (A4 paper)

Patient history sheet (Psychiatry, 8 pages)

Pledge card for eye donation

Eye donor’s card (to be laminated)

Medical certificate(A4 paper)

Prescription for glasses (A4 paper)

Facts about Eye donation in English(for public awareness)+ Facts about Eye donation in Assamese(for public awareness) both side joined

Advices for post operative period in Assamese (for cataract surgery mainly)+ Advices for post operative period in English (for cataract surgery mainly) both side joined

Thanks letter to be issued to the concerned family after eye donation

Pre operative check (list for ward sister in English)+ Pre operative check (list for ward sister in Assamese) both side joint

ML Register

Surgery OT list(A4 paper)

Pre-OP direction & check list (A4 paper)

Investigation chart (A4 paper)

Operation consent form (A4 paper)

Blood Donor questionnaire & consent form (4 pages)

Appreciation certificate (A4 paper)

Blood Requisition Form (A4 paper)/Blood Component Form

Transfusion Reaction Report form(A4 paper)

Template for ELISA(A4 paper)

ABO & RH Grouping Test Report 21cm*14cm

Blood Bank Money Receipt

Blood bank sticker size (6.5*1.75)

Patient Registration register

Transfusion reaction register

Blood component register

Consumables Register

Equipments register

Blood discard register

Blood stock Register

Donor master record register

Blood issue register

Cross matching register

Syphilis screening register

Malaria screening register

HBSAG Rapid screening register

HCV Rapid screening register

Whole blood label (A,B,O,AB) (Blood Bank Sticker O+/B+/A+/AB)

HBSAG ELISA Screening Register

HCV ELISA screening register

HIV ELISA screening Register

Serum Grouping Register

Cell grouping register

Patient Record Register

Blood collection register

Donor reaction register

Donor referral register

Donor deferral Register

Component separation SOP Binded copies

Component separation SOP Laminated copies

Component separation register

Facility based post neonatal death review form

Form No. 1 Serological Test (Microbiology)

Form No. 2 Mantoux Test

Form No. 3 Gram Stain

Form No. 4 Stool RE

Form No. A Culture & Sensitive report

Form No. A Culture & requisition form

AES/JEF-5 report & request form

VRDL data entry form (1page both side)

CRF (Case report form)

Laboratory test report form for HCTS confirmation facility

Microbiological direct staining form

Laboratory requesting form

Requisition form for dengue & chikungunya

Laboratory test report form for HCTS confirmation facility

ICMR Virus Research and diagnostic laboratory network form (both side A4 paper)

PNDT Form F (4pagse)

X-ray Report (White/Red)

X-Ray Requisition 21cm*14cm

USG Report (A4 paper)

USG Requisition 21cm*14cm

USG Obstetrics reporting sheet

USG female reporting sheet (pink)

USG male reporting sheet (A4 paper)

MRI Consent Form(A4 paper)

MRI Register

CT Consent form(A4 paper)

Paper Cover CT Scan Film (14”*17”)

Discharge certificate(A4 paper)

Serial axial scan of NECT brain reveals format (one page, A4 paper)

Obstetrics Doppler study format (one page, A4 paper)

X-ray Nose and PNS format (one page, A4 paper)

X-ray LS spine (AP & Lateral views) (one page, A4 paper)

X-ray cervical spine (one page, A4 paper)

U.S.G F.A.S.T (A4 paper)

Biochemistry Daily record sheet A (A3 Paper)

Biochemistry Daily record sheet B (A3 Paper)

Requisition for Electrocardiogram

Intake/Output chart for ICU (both side)

Pre Anaesthetic check up form (1page both side)

Format for rabies vaccines issue record

Anaesthesia Note (A4 paper one side)

Positioning chart (A4 paper both side)

Anaesthesiology OT record register

Diabetic chart (A4 paper both side)

Bill format for CICU (Legal paper)

Exchange Transfusion record sheet Special care newborn unit, TMCH (NICU) (A4,2 Pages)

Left against Medical Advice form (NICU) (A4 paper)

The new ballard score (NICU) (A4 paper)

Form 4a Facility based neonatal death review form (NICU) (2 pages both side)

PSS format (For MUSQAN) (NICU)

Transfer form for newborn from LR/CS OT to SNCU (NICU)

SNCU Tezpur Medical College & Hospital, Resuscitation checklist (NICU)

SNCU Tezpur Medical College & Hospital, Intake chart(NICU)

PSS format for MUSQAN (ward)

Out patients department (OPD)

Universal Immunization Programme Mothly BPHC performance report (OPD) (legal paper both side)

Vaccine and logistics indent from (OPD)

Intake/output chart, I.C.U chart T.P.R –B.P chart (one long format) (PICU)

Inpatients details (PICU)

PSS format (For MusQan) (NRC)

Patient details orthopaedics (2 pages)

Pre operative note

Investigations patient details

Doctor’s sheet(A4 paper)

BT Note

O.T sheet orthopedics

HMIS deptt. sheet (A4 paper)

HMIS Emergency sheet(A4 paper)

PICU Consent Form(A4 paper)

SNCU document folder (9*12 inch size, multicolour with inside pocket 280 GSM paper)

Neonatal case record sheet (8.5 *11inch size, 4 pages, single colour print, 70GSM paper)

Monitoring sheet (8.5* 11inch size, both pages, single colour print 70 GSM paper)

Treatment continuation sheet (8.5*11inch size, single colour print, 70 GSM paper)

Discharge card (8.5*11 inch size, 4 pages, single colour print, 70 GSM paper)

Discharge note (8.5*11inch size, single colour print, 70 GSM paper)

Referral summery (8.5*11inch size, single colour print, 70 GSM paper)

Phototherapy record (A4 paper)

Daily weight record (A4 paper)

Vertigo assessment form (3 pages, A4 Paper)

Investigation chart (One page, Legal paper)

PAC form (A4 paper, One page)

OT list (Legal paper)

Mastoidectomy form (A4 paper, One page)

EUM form (A4 paper, One page)

DNE form(A4 paper, One page)

VDL form (A4 paper, One page)

Videolaryngoscopy report

Diagnostic endoscopy report (A4 paper)

Proforma for thyroid examination(A4 paper)

Student log book

Student log book

Student log book

Student log book

Medical certificate format(A4 paper)

Requisition form for HPLC for hemoglobin typing

Paying cabin form (a4 paper)

MAA MANASHA PRINTERS (BID ID -261718)

M/S LOTUS COMPUTER (BID ID -261735)

TICOL STYLE TRACK (BID ID -261633)