MNJY DAILY REPORTING FORMAT

CHC/BRCNAME OPD IN LAST MONTH

IPD IN LAST MONTH
BENEFICIARY TILL LAST MONTH
BENEFICIARY IN THIS YEAR
Sr.No. TEST NAME TODAY TODAY NO.OF
NO.OF BENEFICIARY TILL
OPD IPD
BLOOD SUGAR BENEMCIARY LAST DATE
HB
BUN
SERUM URIA
SERUM CREATININE
SERIUM CALCIUM
SERIUM POATASSIUM
|SERIUM S0DIUM
SERIUM URIC ACID
10 UREA/ CREATININE RATIO
11
BUN/CREATININERATIO
12 SERIUM BIRUBIN(TOTAL)
13 SERIUM BIIRUBIN(DIRECT)
14
SERIUM BIIRUBIN(INDIRECT)
SGPT(ALT)
SGOT(AST)
SERIUM ALKALINE PHOSPHATE
18 SERIUM ALBUMIN
19 GLOBULIN
20 A/G RATIO
CBC

MP SLIDE/CARD
HIV

HbSAg
SYPHILLIS
SERIUM LDH
SERIUM LIPASE
TOTAL LIPID PROFILE
30 TRIGLYCERIDES
31 TOTAL CHOLESTEROL
32 HDL CHOLESTEROL
33 URINE 10 PARAMETER
34 URINE 2 PARAMETER
UPT
35
36 MICROSCOPIC EXAM.(TB)
37 X-RAY
NOTE
BENEFICIARY NAME MOBILE NUMBER ADDR SS

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