Ro—104 Med.-108 WART oF (@) / CERTIFICATE ‘B’ (oa MPa SB aRa Han aE Erg garet & Ferg arerarer H ae Par Tar i) (To be completed in the case of pationts who are admitted to hospital for reaiment) Pres Aha wh /ga/ oa a oe Se ea ea ey temeiouet Cortese ranted io Mrs tc Mss wilfeon ough Of Men employe inthe APT “& / PART “AY (arerere a ob aT Pe rene rer wee fe UTE ) ‘fo be signed by the Medical Officer-in-Charge of the case at the hospital) a ao ~ secnmnnnonennenen RE ERT MAMPU HT. o= 1, be ; : heey corty = (@) BM BAR ARIZ rr moon cb ced @ eee af Pret ar eT | (Ferree attret a am) {a) that the patent was admited to hospital on my advcefon the advice of. ses (fame of Medical Otice (@) f& wh gema & fey mo oe ver 8 sik fh ga ede FR ceed 4 Pi se 2 we Hu Hw A ah, a sitae > area 4H wgte afta wt ab (oer 1-19) fare were ei wt ore alte wer BASS Corre) ahr whe ae e Arere fere ae Pade ss STR gar woeTAT 81a aaa at ye: we, eneen teed i (©) thet the patient has been under treatment at 7 and that be unJermentoned modcics pesared by me n We connacion wore escent forthe recovenpreventon 0 serious deterioration in the condition af the patiant, The medicines are not stocked in tne. {ame of te Hosp for supoly to private patients and do not include proprietary preparations for which cheaper subsiances of equal therapeutic valve are avaiable nor preparations which are primaly food, tolets or disinfectants. ihe zor = at Name of Medicines Price Price > | | | 8 0 u 2. (2) Rey amy eae Sons a tA Beg B/E A | {c) that te injections acministred werevere not for inrmriing 0: prophlocic purposes. (@) wht soca & AR gen ste a SE ae R gerd A R/O (8) a om ptet ase mon nnn art te _and leas under my teatment HOM so (Oo(S) Pe for yaw’, selbrenen oie onfe eb ferq ~~ omy ef fog ag of a heres ao a 48 were 8 5 cormoreemencemnncmendt HY AY AT | (e) that the X-Ray, Laboratory tos, et, for which an expencture Of RE.enunuens ‘wore necissary and were undertaken on my advice at soe 98 incured (Name ofthe Hosp or Laborston (2) Pe AA aN a Re we B fe Bie - Ges yen eras fate ata 1) ager ret ae FBT a eT | (tat refered the pat 2 Dennen ; const ane thatthe necessary approval of the (Name of the Chief Administrative Medical Offcer ofthe Site) required under the rules was obtained. re af cearr Signature and Designation of the Medics! Offcerin-Cherge ofthe case al the Hospital aT Gt /PART ee eer ew eae © ON = et coomrmonnenon TTA A WETS ate fos fate cuftentanst at fart Mansi B fy ee at wr wd fey my o, fry so er won re a Aw w/e A ae BY A Be Pe \ cotity thatthe patent has been under treatment atthe. z hospial and that the services. of the special nurses, for which an expenditure Of RS.nn swe8S InouTed vide bila ané vouchers atached, were essental fr the recovery! preventon of serious deteoralion inte condion ofthe paint “aeraTet Heh Gs Roce afew TER Signature_of the Medioal Offcer-in-Charge BN af the case at the Hospital suftemarft/ COUNTERSIGNED Maciel Superintendent on TEA Hospital sae we PE MN TAL a RIG - onererat A er afte Pr oa sir garg ng Bae S gener de are eer GREE a1 | certy that th patent hae been under Leakoat at he. _-hoapl end that the facies provided were the minimum which were essential fr ihe patient's weatmnent. pat Fafascer seers ‘Medical Superintondent ne etittttiet sre Hospital Pte ort ot waaay aa wre fey or TRG | aus w aPerd @ oi ae enh Tel # Fafa aeons are He OT ae 1 N-B— Cartfate no applable shou be suck ch, Crate’! is compulsory end must be Red! in bythe Medicale in U cases. MGIPNLK—B9/NSG New Dalhi2010—17-7-2010—2,000.