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OPD Clinic

FACILITATOR'S NAME *
MOBILE NO. *
 
ALTERNATE MOBILE NO.
EMAIL ID *
WEBSITE *
ADDRESS *
STATE *
CITY *
AREA *
PIN CODE *
LANDMARK
WEBSITE *
GST NO. *

STAFF DETAIL
NO. OF NURSING STAFF *
NO. OF RMO
OTHERS
INFRASTRUCTURE & FACILITY
INTERNET CONNECTION :
24*7 HOUR AVAILABILITY :
OPEN ON NATIONAL HOLIDAYS :
AIR CONDITIONED :
FULL TIME CONSULTANT :
COMPUTER & LAPTOP :
SCANNER AVAILABLE :
OPERATION THEATER :
RECEPTION AND WAITING AREA :
DOES THE DOCTOR HAVE ANY EMERGENCY HOME VISIT FACILITY :
PHYSIOTHERAPIST OR ANY OTHER MEDICAL PROFESSIONAL ATTACHED TO THE CENTRE :
NO. OF OPD DOCTOR :

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