अखिल भारतीय आयुर्विज्ञान संस्थान ऋर्िकेश

All India Institute of Medical Sciences Rishikesh

Department of Nursing Services
e-mail:- ns.nur@aiimsrishikesh.edu.in
Ph.No. +911352462513
Daily report by On- Duty Nursing Supervisor
DNS (On call) :- Date:
ANS (On call for Main Emergency & Trauma Centre) :- Shift:
ANS (On Call for main hospital Building) :-
SNO/Ward Incharge-I :- SNO/Ward Incharge-II :-
MSW (Control Room):- HK Supervisor: - HA Supervisor :-

Department/ Nursing Related HA Related HK Related Patient Related Issues/action

Area Observations Observations Observations Observations Taken

Status of HCW/VIP patient

Admitted (If any) :-

*Detail of any particular

Incident/ issues (If any):-

Remarks by on call ANS:-

*Use incident report form /additional sheet if required.

Signature: - SNO-I SNO-II ANS (On Call-I) ANS (On Call-II) DNS (On call)