A\XDAE NHPHRA_AZAE RA_AZ KAFAE

PX\NH\MA\ NAFI_XEOX NABXPAZHE NHEJAF

 Jiaoecsa Phrhelaeaae Hvafuasi
Ec Zof Eama Phejhrita Jata / Pheonakiae Impfhmhetasi
Phrawatae Zukuae Ziejanae Bimbieoae
1 Rho. A01.0 \; Pasihe mheoatanae 1) Pheieonatae \udu tubud ecrmaf 1. Aekurnae uetun 1. Mheoaekurnae uetun jincmprhs 1. Pasihe /
Ghbris Zypdcij jhmam, pusieo jae sudu tubud jheoae lrithria jincmprhs nhfuaroa
mheooioif paja b/j rhspce sudu ≪ <?0 L, tijan 2. Aekurnae mieum 2. Mheoaekurnae mieum baeyan & mheoatanae
mafam dari iegfamasi baeyan & istiradat mheoaekurnae istiradat lunup mheohrti
pusieo &
C; Paeas, nufit tampan lunup thetaeo
mheooioif, nufit
nhrieo, muna <. Aekurnae uetun <. Mheoaekurnae uetun panai yaeo
tampan mhrad, \ ; fhmbab, muna panai panaiae yaeo panaiae yaeo tipis jiaekurnae
<90 L tijan mhrad. tipis
:. Ncfabcrasi uetun :. Mhmbhrinae Parashtamcf <x800
phmbhriae cbat mo (bifa paeas), Lfcrampdheilcf
:x800 mo (shsuai ajvilh)
\; Pasihe mheoatanae 2) Phrubadae Nhbutudae eutrisi 1. Aekurnae uetun 1. Mheoaekurnae uetun manae 2. Pasihe
phrut nhmbueo, phmheudae thrpheudi jheoae manae mieum fhbid mieum fhbid baeyan, shfaoi mhehrima
muaf & tan aja nhbutudae lrithria eagsu baeyan, shfaoi daeoat jheoae pcrsi shjinit2 tapi cbat jae
eagsu manae eutrisi b/j daeoat, jheoae pcrsi shrieo. mau mieum
manae bhrtambad,
C; Phriftaftil mheurue, pheurueae shjinit2 tapi shrieo. cbat
nufit tampan eagsu manae tijan muaf jae 2. Mctivasi pasihe 2. Mctivasi pasihe thetaeo
nhrieo, NX tampan nhmbueo. thetaeo phetieoeya phetieoeya oizi baji nhshmbudae
nhshmbudae
fhmad oizi baoi
nhshmbudae
<. Ncesuftasinae paja <. Mheocesuftasinae paja baoiae
bao.oizi uetun jiit Oizi uetun jiit fuean / bubur
fuean / bubur
:. Mctivasi pasihe :. Mctivasi pasihe uetun mieum cbat
uetun mieum cbat thratur jae ncetrcf bifa bhfum
thratur jae ncetrcf shmbud
bifa bhfum shmbud
8. Bhrinae rcbcraetia 8. Mhmbhrinae vitamie BL < x 10
mo
2 Rho. K 00 I\PA \; Pasihe mheoatanae 1) Bhrsidnae Kafae eagas hghntig 1. Aekurnae uetun 1. Mheoaekurnae uetun baeyan 1. Pasihe
batun jae kafae eagas jheoae lrithria baeyan mieum mieum daeoat mheoatanae
 theoocrcnae oataf / tijan hghntig nfihe batun / pifhn daeoat mheohrti
nhrieo b/j bhrnuraeo jae 2. Aekurnae uetun 2. Mheoaekurnae uetun tijur shmi aekurae
C; Batun, pifhn, pheieonatae theoocrcnae tijan tijur shmi gcwfhr / gcwfhr / mirieo. phtuoas
dijueo thrsumbat, prcjunsi mirieo
nhrieo
suara shran shlrht <. Aekurnae uetun
baeyan istiradat <. Mheoaekurnae uetun baeyan
istiradat
:. Ncfabcrasi uetun :. Mhmbhrinae cbat LZM <x: Mo,
phmbhriae cbat CBD < x 1 sjm
\; Pasihe mheoatanae 2) Pheieonatae \udu tubud 1. Aekurnae uetun 1. Mheoaekurnae uetun ncmprhs 2. Pasihe
bajaeeya mhriaeo sudu tubud nhmbafi ecrmaf ncmprhs daeoat daeoat mhehrima
C; Paeas <40 L, b/j rhspce jheoae lrithria 2. Aekurnae uetun 2. Mheoaekurnae uetun baeyan cbat jae
pusieo, wakadeya iegfamasi baeyan mieum mieum mau mieum
sudu tubud <70 L
tampan mhrad <. Mctivasi pasihe <. Mctivasi pasihe uetun mieum cbat cbat
s/j <?0 L, nufit
uetun mieum cbat
tampan fhmbab thratur jae ncetrcf
bifa bhfum shmbud
:. Ncfabcrasi uetun :. Mhmbhrinae Parashtamcf <x800
phmbhriae cbat mo, Amcx/Hrytrc 2x800 mo
shsuai ajvilh.
< Rho. \; Pasihe mheoatanae 1) Oaeoouae Rasa eyamae 1. Cbshrvasi tieonat 1. Mhrawat jahrad thrieghnsi jheoae 1. Pasihe thfad
Jx; slabihs oataf yaeo dhbat rasa eyamae thrpheudi jheoae rasa oataf yaeo phmbhrsidae jheoae rivaecf mheohrti
C; Zampan fhsi yaeo ‖oataf” b/j lrithria oataf jirasanae yaeo thfad
baeyan ji shfurud shesitisasi 2. Rawat jahrad 2. Mhmbhrinae cbat LZM <x: mo, jisampaina
difaeo, fhsi bhrsid
tubud, shrieo hnsnrhta thrieghnsi Prhj <x8 mo, shsuai ajvilh e
mheooarun banthri <. Ncfabcrasi mhjis 2. Pasihe
uetun phmbhriae padam
cbat jheoae
yaeo thfad
jiakarnae
\; Pasihe mheoatanae 2) Oaeoouae Istiradat tijur 1. Mctivasi pasihe aoar 1. Mctivasi pasihe aoar mhekaoa 1. Pasihe
tijur nuraeo istiradat tijur thrlunupi jheoae mhekaoa nhbhrsidae nhbhrsidae jiri jae fieonueoae mhehrima
C; Zampan fhsu jae b/j oataf yaeo lrithria ; istiradat jiri jae fieonueoae jae aoar tijan mhmanai daejun cbat jae
mheoaetun, shrieo dhbat. jae aoar tijan craeo faie. mau mieum
tijur lunup, tijan
mheouap mhmanai daejun cbat
oataf, tampan
craeo faie
shoar. 2. Aekurnae tijur siaeo 2. Mheoaekurnae tijur siaeo
 bifa mhmbhr hghn
pcsitig thrdajap tijur
mafam
<. Ncfabcrasi mhjis <. Mhmbhrinae oamhxae Fiq. <x

pheaeoaeae
oataf jheoaerasa
cbat shdari shsuai ajvilh
\; Pasihe mheoatanae <) Rhsinc tieooi Pheufarae tijan 1. Aekurnae diejari 1. Mheoaekurnae diejari
mheooueanae thrkajieya thrkaji jheoae pheooueaae mhjia pheooueaae mhjia pheufarae
daejun bhrsama- pheufarae b/j lrithria ; tijan pheufarae shlara
sama nhbiasaae thrtufar paja bhrsama-sama
C; Zampan nctcr paja pheooueaae iejiviju yaeo faie, 2. Aekurnae uetun kaoa 2. Mheoaekurnae uetun mhekaoa
fhsi, tijur bhrsama mhjia ncetan fhsi tijan nctcr nhbhrsidae phrsceaf nhbhrsidae phrsceaf
(dyoiheh) khfhn banthri shlara <. Diejarnae ncetan <. Mheoaekurnae uetun mheodiejari
bhrsama faeosueo ncetan faeosueo jheoae fhsi
:. Xpayanae shmua :. Mheoupayanae aoar shmua
iejiviju yaeo iejiviju yaeo thrieghnsi uetun
thrieghnsi uetun jicbati
jicbati
: Rho. \; Pasihe mheoatanae 1) Phrjaradae Phrjaradae 1. Fanunae 1. Mhfanunae pheodhetiae 1. Pasihe
Jx; Wufeus / Funa aja phejaradae b/j bhrdheti jheoae pheodhetiae phrjaradae / mhekadit funa mheyatanae
jahrad funa thrputuseya lrithria ; tijan phrjaradae fhbid
C; Zhrjapat funa, phmbufud thrkaji phrjaradae 2. Naki jae cbshrvasi 2. Mheonaki jae mheocbshrvasi eyamae
tampan lhmas, aja jarad anibat phrjaradae yaeo phrjaradae 2. Phrjaradae
phrjaradae funa thrkaji bhrdheti
<. Aekurnae bhri <. Mheoaekurnae bhri mieum daeoat
mieum daeoat
:. Ncfabcrasi mhjis :. Mhmbhrinae cbat Wit N <x1 tab
uetun phmbhriae shsuai ajvilh
cbat
\; Pasihe mheoatanae 2) Oaeoouae Eyhri thratasi 1. Fanunae thnein 1. Mheoakarnae thnein rhfansasi <. Pasihe
eyhri paja jahrad rasa eyamae jheoae lrithria ; rhfansasi uetun mheoatasi eyhri mheyatanae
funa ‖eyhri” b/j pasihe mheyatanae 2. Bhrinae aehsthsi 2. Mhmbhrinae iekhnsi aehsthsi fclaf eyhri
C; Zampan lhmas, thrputuseya eyhri difaeo, tijan fclaf jheoae iekhnsi Fijclaie 1 Ampuf paja funa jae bhrnuraeo /
nhsanitae, thrjapat karieoae nhsanitae Fijcnaie 1 ampuf fanunae dhaltieo jheoae thnein difaeo
funa (funa) jae fanunae ashptil/aetishptil :. Ps tampan
dhaltieo jheoae theaeo
 thnein ashptil /
aetishptil
<. Aekurnae jae <. Mheoaekurnae jae mctivasi aoar
mctivasi aoar funa funa kaeoae sampai nhea air

kaeoae sampai nhea

air
:. Ncfabcrasi mhjis :. Mhmbhrinae cbat aeafohtil Asam
uetun phmbhriae mhgheamat <x800 mo, shsuai
cbat ajvilh
\; Pasihe mheoatanae <) Rhsinc Ieghnsi tijan thrkaji 1. Cbshrvasi jae 1. Mhrawat jae mhekadit funa shlara 1. Paihe
aja phrjaradae, jae thrkajieya jheoae lrithria ; paetau funa sthrif mhehrima
eyhri paja funa ieghnsi b/j funa bhrsid, tijan 2. Rawat jae kadit 2. Mctivasi pasihe uetun mieum cbat cbat jae
C; Zampan funa, ajaeya funa aja taeja ieghnsi nhajaae funa thratur jae ncetrcf shthfad < dari mau mieum
lhmas, nhsanitae, <. Ncetrcf taeja-taeja <. Mhmbhrinae Amcxiffie <x800 cbat
phrjaradae vitaf mo, shsuai ajvilh
Z ; 120 / ?0, :. Mctivasi pasihe
E ; 40 x/met uetun mieum cbat
thratur jae cetrcf
shthfad < dari
8. Ncfabcrasi mhjis
uetun phmbhriae
cbat
8 Rho. \; Pasihe mheoatanae 1) Oaeoouae Rasa eyamae 1. Aekurnae istiradat 1. Mheoaekurnae istiradat shsuai 1. Pasihe
Jx; M. 07 eyhri paja rasa eyamae thrpheudi jheoae shsuai pcsisi yaeo pcsisi yaeo pafieo eyamae padam jae
Rdhmatcij Artritis phrshejiae ‖eyhri” b/j lrithria ; pasihe eyamae mheohrti
C; Bheonan , prcshs mheyatanae eyhri 2. Aekurnae uetun 2. Mheoaekurnae uetun ncmprhs yaeo
nhmhradae, thoaeo, iegfamasi / bhrnuraeo, rifhns, ncmprhs daeoat daeoat (maeji daeoat) jisaraenae
Z ; 120/?0, anumufasi bisa istiradat (maeji daeoat) jae
E ; 40 x/met lairae <. Ncetrcf taeja-taeja <. Mhmbhrinae cbat Pdheifbutasce jiakarnae
shnuejhr vitaf <x1 tab, Prhjeisce <x1 tab, shsuai
jisthesi :. Ncfabcrasi mhjis ajvilh
karieoae phmbhriae cbat
\; Pasihe mheoatanae 2) Ietcfhraesi Antivitas nhmbafi 1. Baetu pasihe uetun 1. Mhmbaetu pasihe uetun fatidae 2. Pasihe
sanit bifa uetun antivitas b/j ecrmaf jheoae fatidae RCM RCM padam
ohran eyhri jae lrithria ; pcsisi jae 2. Hvafuasi iegfamasi 2. Mhfibatnae pasihe uetun thetunae jheoae apa
C; Bheonan, nhnuatae ctct gueosi ecrmaf, tan phrshejiae antivitas yaeo darus
 ncetrantur pcsisi bhrnuraeo aja ncetrantur, <. Fibatnae pasihe <. Mctivasi pasihe uetun mieum cbat jifanunae
jae gueosi nuraeo tijan bheonan uetun mhehetunae thratur jae ncetrcf bifa bhfum <. Pasihe
antivitas shmbud mhehrima
:. Mctivasi pasihe :. Mhmbhrinae cbat, aetafoie <x800 cbat jae

uetun mieum
thratur cbat
jae ncetrcf mo, shsuai ajvilh mau mieum
cbat
bifa bhfum shmbud
8. Ncfabcrasi mhjis
phmbhriae cbat
7 Rho. \; Pasihe mheoatanae 1) Rhsinc ieghnsi Ieghnsi tijan thrkaji 1. Aekurnae pasihe 1. Mheoaekurnae pasihe uetun 1. Pasihe
Jx; a. 18 paeas, batun sujad b/j jheoae lrithria ; uetun mheooueanae mheooueanae tisu saat padam jae
ZB Paru : mieoou, jadan phrtadaeae tijan aja tisu saat batun batun/bhrsie mheohrti
najaeo bhrlampur tijan ajhnuat phrajaeoae 2. Ncetrcf/mceitcr 2. Mhekhfasnae phetieoeya yaeo
jarad/dahmaptch jae jhstrunsi sudu tubud jae thesi pheocbatae rutie 7 bufae uetun
uetun jisaraenae
C; Zhrjapat taeja karieoae jae phrjaradae mheoatasi ieghnsi BZA (+) jae
ieghnsi bajae narhea ieghnsi jafam jadan <. Mhmbhrinae pheocbatae GJL / jiakarnae
paeas, \ <48 0L <. Mceitcr dasif px. CAZ Rigampilie 1x:80 mo,
Z ; 120/40 mmDo \putum pirazieamij 1x1200 mo, IED
E ; 40 x/met, :. Khfasnae phetieoeya 1x<00 mo, Htdambutcf 1 x 400
BZA (+) pheocbatae rutie 7 mo, shsuai ajvilh
bufae uetun
mheoatasi ieghnsi
BZA (+)
8. Ncfabcrasi mhjis
pheocbatae cbat

\; Pasihe mheoatanae 2) Bhrsidae kafae Kafae eagas nhmbafi 1. Aekurnae uetun 1. Mheoaekurnae uetun tijur jheoae 2. Pasihe
shsan eagas eagas b/j hghntig, jheoae tijur jheoae pcsisi pcsisi gcwfhr mhehrima
C; Zampan aja slrht prcjunsi slrht lrithria ;slrht gcwfhr cbat jae
ji theoocrcnae, yaeo bhrnuraeo, tijan 2. Aekurnae uetun 2. Mheoaekurnae uetun mieum mau mieum
fhmad, pulat mheieonat shsan mieum baeyan jae baeyan jae daeoat cbat
daeoat
<. Aekurnae uetun <. Mheoaekurnae uetun mhekaoa
mhekaoa nhbhrsidae nhbhrsidae mufut jari shlrht
mufut jari shlrht
:. Mctivasi pasihe :. Mctivasi pasihe uetun mieum cbat
 uetun mieum cbat thratur, mheoaekurnae uetun
thratur lunup istiradat
8. Mheoaekurnae uetun 8. Mhmbhrinae cbat Amiecpiffie
lunup istiradat <x1 tab bifa shshn, Brcmdhxie <

7. Ncfabcrasi mhjis
phmbhriae cbat x1 tab, shsuai ajvilh
? Rho. \; Pasihe mheoatanae 1) Oaeoouae Rasa eyamae 1. Aekurnae uetun 1. Mheoaekurnae uetun diejari 1. Pasihe
Jx ; F 20 oataf paja jahrad rasa eyamae thrpheudi jheoae diejari manaeae manaeae phelhtus afhroi/manaeae mhejheoarn
Jhrmatitis/Warilhffa nani jae taeoae oataf b/j lrithria oataf phelhtus amis ae sarae
C; Zhrfidat fhsi afhroi/rhansi bhrnuraeo/difaeo afhroi/manaeae amis phtuoas
bhrsisin, aoan imuecfcois 2. Akarnae lara 2. Mheoakarnae lara mheooarun
basad, shjinit mheooarun yaeo yaeo bhear
bhreaead, fhsi bhear
mhrad nhditam- <. Rawat jahrad <. Mhrawat jahrad thrieghnsi jheoae
ditamae, shjinit thrieghnsi rivaecf
bhreaead :. Ncfabcrasi mhjis :. Mhmbhrinae LZM <x: mo,
uetun phmbhriae jhxamhtd <x0,8 mo, shsuai ajvilh
cbat
\; Pasihe mheohfud 2) Rhsinc Ieghnsi tijan thrkaji 1. Cbshrvasi jae 1. Mheoakarnae lara mhrawat fhsi 2. Pasihe
fhsi thrasa eyhri jae thrkajieya lrithria fhsi bhrsid, paetau fhsi jheoae rivaecf/safp aetibictil mhehrima
paeas ieghnsi b/j tijan aja taeja 2. Akarnae lara 2. Mhmctivasi pasihe uetun mieum cbat jae
C; Fhsi thrfidat mhrad ajaeya fhsi ieghnsi, tan aja mhrawat fhsi jheoae cbat thratur jae ncetrcf bifa bhfum mau mieum
nhditam-ditamae eaead aetishptil shmbud cbat
shjinit bhreaead <. Mctivasi pasihe <. Mhmbhrinae Ampiliffie <x800
uetun mieum cbat mo, dyjrclcrtisceh/Bhtamhtasce
thratur & ncetrcf safhp <x shdari shsuai ajvilh
bifa bhfum shmbud
:. Ncfabcrasi mhjis
uetun phmbhriae
cbat
4 Rho. \; Mheohfud lhpat 1) Phrubadae Phrgusi ajhnuat, 1. Aekurnae ncetrcf 1. Mheoaekurnae ncetrcf rutie uetun 1. Pasihe
Jx ; J80 fhfad, mheoaetun, phrgusi taeja-taeja vitaf rutie uetun pheoawasae taeja-taeja vitaf mheohrti
Aehmia muaf, pusieo karieoae, s/j ecrmaf, mhmbraeh pheoawasae taeja- aekurae
C; Hxtrhmitas jieoie, pheurueae muncsa mhrad taeja vitaf phtuoas
nufit pulat, ncmpcehe muja 2. Awasi nhfudae eyhri 2. Mheoawasi nhfudae eyhri jaja, 2. Pasihe
mhmbraeh muncsa jarad uetun jaja, pafpitasi pafpitasi saat ncetrcf mhehrima
 nhrieo, nunu pulat. pheoirimae <. Aekurnae uetun <. Mheoaekurnae uetun phrtadaeae cbat & mau
ZJ ; 90/70 mmDo C2 / eutrihet phrtadaenae nhdaeoatae tubud mieum cbat
DR ; 90 x/met, nh shf nhdaeoatae tubud
Db ; 9 or/jf :. Ncfabcrasi :. Mhmbhrinae cbat sg 1x1, b1 <x1

8. phmbhriae
Ncfabcrasi cbat
px Db 8. Mhrukun px Db
\; Pasihe mheoatanae 2) Oaeoouae Pusieo/sanit nhpafa 1. Aekurnae pasihe 1. Mheoaekurnae pasihe uetun <. Pasihe
pusieo/sanit nhpafa rasa eyamae difaeo/bhrnuraeo uetun mheoafidnae mheoafidnae phrdatiae saat eyhri mheyatanae
C; _akad tampan pusieo/sanit jheoae lrithria ; phrdatiae pusieo/sanit
thoaeo, shrieo nhpafa b/j pasihe mheyatanae 2. Akarnae thnein 2. Mheoakarnae thnein rhfansasi nhpafa
mheyhrieoai jae ieajhnuat tijan pusieo/sanit rhfansasi jheoae lara eagas jafam bhrnuraeo
phoaeo nhpafa, sirnufasi nhpafa. _akad <. Aekurnae uetun <. Mheoaekurnae istiradat jae :. Pasihe
Z ; 90/70 mmDo, phrhjarae tampan theaeo istiradat jae batasi mhmbatasi ohran pasihe bifa sanit mhehrima
E ; 90 x/met jarad ctan ohran pasihe nhpafa mheyhraeo cbat jae
:. Ncfabcrasi mhjis :. Mhmbhrinae cbat shsuai ajvilh ; mau mieum
phmbhriae cbat asam mhg.< x 800 mo, shsuai cbat
ajvilh
9 Rho. \; Pasihe mheoatanae 1) Pcthesiaf Ieghnsi mata tijan 1. Diejari ocscn mata 1. Mheodiejari pasihe aoar tijan 1. Pasihe
Jx ; D10 nhjua mata oataf thrkajieya thrkaji jheoae mheoocscn mata, aoar iritasi tijan mheohrti
(ncekueotivitis) jae mhrad jae ieghnsi b/j lrithria ; mata tijan bhrnhfaekutae jae bhrshjia
nhfuar air mata prcshs mhrad, tadi mata 2. Aekurnae istiradat 2. Mheoaekurnae uetun mheouraeoi mhfansaean
shkan nhmarie iegfamasi tijan aja, oataf lunup antigitas jae istiradat tijur lunup, ae aekurae
C; Mata tampan mata bhrnuraeo aoar thnaeae ietra cnufhr tan phrawat
mhrad, bhrair bhrtambad 2. Pasihe
<. Ncfabcrasi bhrinae <. Mhmbhrinae thtrasinfie napsuf bhrshjia
aetibictil <x800 mo jae zafg mata <x1 mieum cbat
shdari jae
:. Aekurnae ncetrcf :. Mheoaekurnae uetun ncetrcf mhehthsnae
shthfad < dari shthfad < dari thths mata
shsuai
aturae
<. Pasihe
bhrshjia
uetun
ncetrcf